| NPI | 1710907282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: CA G46148) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: CA G46148) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-12-12 |